scholarly journals HUBUNGAN TINGKAT DEPRESI DAN KUALITAS HIDUP PADA PASIEN GAGAL JANTUNG KRONIK DI POLIKLINIK JANTUNG RSUP PROF. DR. R. D. KANDOU MANADO

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Christin Tatukude ◽  
Starry H. Rampengan ◽  
Agnes L. Panda

Abstract: Heart failure is the major cause of morbidity and mortality worldwide. Heart failure is defined as heart’s inability to pump the blood to supply oxygen and nutrients to the body’s tissues. Functional limitation and psychological distress such as depression caused by this chronic condition will affect the quality of life of patients. This study aimed to determine the relationship of the level of depression and quality of life of patients with chronic heart failure. This was an observational analytical study with a cross sectional approach. Samples were 38 patients with chronic heart failure obtained by using consecutive sampling method. The level of depression was measured by using the Beck Depression Inventory-II meanwhile the quality of life was measured by using the Short Form-36. The results showed that of the 15 respondents with minimal depression, 4 respondents had poor quality of life and 11 respondents had better quality of life; of the 16 respondents with mild depression, 13 respondents had poor quality of life and 3 respondents had better quality of life, meanwhile 5 respondents with moderate depression and two respondents with severe depression had poor quality of life. Conclusion: There was a significant relationship between the level of depression and the quality of life. The higher the level of depression the poorer the quality of life of patients with chronic heart failure.Keywords: chronic heart failure, levels of depression, quality of life  Abstrak: Gagal jantung merupakan penyebab utama morbiditas dan mortalitas di seluruh dunia. Gagal jantung didefinisikan sebagai ketidakmampuan jantung memompa darah untuk memenuhi kebutuhan oksigen dan nutrisi jaringan tubuh. Keterbatasan fungsional dan distres psikologis seperti kejadian depresi yang disebabkan kondisi kronis ini akan mempengaruhi kualitas hidup pasien. Tujuan penelitian ini yaitu untuk mengetahui hubungan tingkat depresi dan kualitas hidup pada pasien gagal jantung kronik. Penelitian ini menggunakan metode analitik observasional dengan pendekatan potong lintang. Sampel penelitian adalah 38 pasien gagal jantung kronik yang diambil menggunakan teknik consecutive sampling. Tingkat depresi diukur menggunakan kuesioner Beck Depression Inventory-II dan kualitas hidup diukur menggunakan kuesioner Short Form-36. Hasil penelitian menunjukkan dari 15 responden dengan depresi minimal terdapat empat responden memiliki kualitas hidup kurang baik dan 11 responden memiliki kualitas hidup baik, kemudian dari 16 responden dengan depresi ringan terdapat 13 responden memiliki kualitas hidup kurang baik dan tiga responden memiliki kualitas hidup baik, sementara lima responden dengan depresi sedang dan dua responden dengan depresi berat memiliki kualitas hidup kurang baik. Simpulan: Terdapat hubungan bermakna antara tingkat depresi dan kualitas hidup, dimana semakin tinggi tingkat depresi maka semakin rendah kualitas hidup pasien gagal jantung kronik.  Kata kunci: gagal jantung kronik, tingkat depresi, kualitas hidup

2004 ◽  
Vol 10 (4) ◽  
pp. S106
Author(s):  
Marie A. Krousel-Wood ◽  
Mandeep R. Mehra ◽  
Ann S. Jannu ◽  
Xiao Z. Jiang ◽  
Richard N. Re

2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Riza Alfian ◽  
Yugo Susanto ◽  
Siti Khadizah

ABSTRAK Hipertensi dengan penyakit penyerta adalah salah satu penyebab kematian nomor satu di dunia. Hal tersebut pasti akan membahayakan jiwa pasien dan menurunkan kualitas hidup pasien. Kualitas hidup merupakan indikator penting untuk menilai keberhasilan intervensi pelayanan kesehatan, baik dari segi pencegahan maupun pengobatan. Tujuan penelitian ini adalah untuk mengetahui gambaran kualitas hidup pasien hipertensi dengan penyakit penyerta gagal jantung dan hipertensi dengan penyakit penyerta diabetes melitus di poli jantung RSUD Ratu Zalecha Martapura. Penelitian ini merupakan penelitian deskriptif. Pengambilan data dilakukan secara prosfektif pada pasien rawat jalan di poli jantung selama periode Desember 2015 – Januari 2016. Subjek penelitian yang memenuhi kriteria inklusi sejumlah 71 orang yang terbagi atas 58 orang (82,36 %) pasien hipertensi dengan penyakit penyerta gagal jantung dan 13 orang (17,64 %) pasien hipertensi dengan penyakit penyerta diabetes melitus. Pengumpulan data dilakukan dengan melakukan wawancara mengunakan kuesioner Short Form 36 (SF 36). Hasil penelitian menunjukkan untuk 58 orang pasien hipertensi dengan penyakit penyerta gagal jantung 15 orang (25,86%) kualitas hidup baik, dan 43 orang (74,14%) kualitas hidup kurang baik, total skor kualitas hidup rata-rata yaitu 46,21 dengan nilai skor tiap dimensi yaitu fungsi fisik 48,71, fungsi emosi 64,9, fungsi sosial 50,25, kesehatan umum 44,11, keadaan fisik 31,9, keadaan emosi 36,23, dimensi nyeri 36,85, dan fatique 58,72. Sedangkan untuk 13 orang pasien hipertensi dengan penyakit penyerta diabetes melitus 9 orang (69,23 %) kualitas hidup baik dan 4 orang (30,77 %) kualitas hidup kurang baik, total skor kualitas hidup rata-rata yaitu 67,93 dengan nilai skor tiap dimensi yaitu fungsi fisik 69,54, fungsi emosi 86,00, fungsi sosial 75,96, kesehatan umum 49,68, keadaan fisik 63,46, keadaan emosi 66,67, dimensi nyeri 61,92, dan fatique 70,19. Berdasarkan hasil penelitian di poli jantung RSUD Ratu Zalecha Martapura dapat disimpulkan bahwa pasien hipertensi dengan penyakit penyerta gagal jantung mayoritas memiliki gambaran kualitas hidup yang kurang baik dan pasien hipertensi dengan penyakit penyerta diabetes melitus mayoritas memiliki gambaran kualitas hidup baik. Kata Kunci— Kualitas Hidup, Hipertensi dengan penyakit penyerta, ABSTRACT Hypertension with the followers disease is one of the main causes of death in the world. This problem certainly will endanger patients’ life and decrease their life quality. Life quality is an important indicator to measure the successful of health service intervention, either from prevention aspect or medical treatment aspect. The purpose of this research is to know the description of hypertension patient’s life quality with the followers disease heart failure and hypertension with the followers disease diabetes mellitus at polyclinic cardiology of Ratu Zalecha Hospital Martapura. This research is a descriptive research. Collecting data was conducted prosfectively on outpatient at poly cardiology from December 2015 until January 2016. The research subject who fulfilled the inclusive criteria is 71 patients. 58 patients (82.36%) have hypertension with the followers disease heart failure and 13 patients (17.64%) have and hypertension with the followers disease diabetes mellitus. Collecting data was done by doing interview using Short Form questioner (SF36). The result shows that from 58 hypertension patient with the followers disease heart failure, 15 patients of them (25.86%) have a good quality of life and 43 patients (74.14%) have a poor quality of life. The total average score of life quality is 46,21 with each detail aspect score like, physical function 48,71 emotional function 64.9, social function 50.25, general health 44.11, physical condition 31.9, emotional condition 36.23, painful aspect 36.85 and fatigue 58.72. Whereas for 13 hypertension patients with the followers disease diabetes mellitus, 9 (69.23%) of them have a good quality of life and 4 patients (30.77%) have a poor quality of life. The total average score of life quality is 67.93 with each detail aspect like; physical function 69.54, emotional function 86.00, social function 75.96, general health 49.68, physical condition 63.46, emotional condition 66.67, painful aspect 61,92 and fatigue 70,19. Based on the research at polyclinic cardiology of Ratu Zalecha Hospital Martapura it can be concluded that hypertension with the followers disease heart failure majority have poor quality of life and hypertension with the followers disease diabetes mellitus majority have good life of quality Keywords— Quality of life, Hypertension with complication, polyclinic cardiology.


2020 ◽  
Vol 4 (s1) ◽  
pp. 75-76
Author(s):  
Ariel Gonzalez-Cordero

OBJECTIVES/GOALS: Heart failure is a public health problem. Currently, heart failure affects 2-5 % of adults within the age of 65-75 years. (Mosterd & Hoes, 2007)Moreover, rates of hospitalization and rehospitalization among patients with heart failure are high and are associated with poor quality of life(Dunlay et al., 2011)Unsurprisingly, studies have found that poor quality of life is linked to decreased physical activity and increased symptomatology, a perception that can quickly change depending on the patient’s mood. Factors such as age, cultural background, socioeconomical status, ethnicity, and gender are highly correlated with quality of life but have not been studied thoroughly. Quality of life assessment in Puerto Rican Hispanics living with heart failure is non-existent. Objective:•To determine gender-specific differences in quality of life for patients hospitalized due to heart failure in Puerto Rico.•To correlate heart failure symptoms, presence of depression and level of perceived quality of life in Puerto Rican patients hospitalized due to heart failure METHODS/STUDY POPULATION: We will recruit patients admitted with heart failure (n = 300) to the Cardiovascular Hospital of Puerto Rico and The Caribbean between 2019-2021. In the first aim, we will implement the Minnesota Living with Heart Failure Questionnaire to assess the quality of life of Puerto Rican Hispanics diagnosed that life with heart failure and the short form-36 (SF-36) for a generic quality of life assessment. For the second aim, we will provide two instruments: The Geriatrics DepressionScale QuestionnaireShort Form (GDS-SF)and the Memorial Symptom Assessment ScaleShort Form (MSAS-SF) to assess the presence and severity of depression and multiple general symptoms RESULTS/ANTICIPATED RESULTS: We expect that women living with heart failure will have worse quality of life and higher NYHA scale and NT-pro-BNP. DISCUSSION/SIGNIFICANCE OF IMPACT: This contribution is significant because it can clarify the specific risk factors in the Puerto Rican community that are associated with lower quality of life among patients suffering from heart failure. This, in term, can allow physicians to identify which population of HF patients is at risk,and have strategies to improve quality of life


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Nduka C. Okwose ◽  
Leah Avery ◽  
Nicola O’Brien ◽  
Sophie Cassidy ◽  
Sarah J. Charman ◽  
...  

Abstract Purpose Less than 10% of heart failure patients in the UK participate in cardiac rehabilitation programmes. The present pilot study evaluated feasibility, acceptability and physiological effects of a novel, personalised, home-based physical activity intervention in chronic heart failure. Methods Twenty patients (68 ± 7 years old, 20% females) with stable chronic heart failure due to reduced left ventricular ejection fraction (31 ± 8 %) participated in a single-group, pilot study assessing the feasibility and acceptability of a 12-week personalised home-based physical activity intervention aiming to increase daily number of steps by 2000 from baseline (Active-at-Home-HF). Patients completed cardiopulmonary exercise testing with non-invasive gas exchange and haemodynamic measurements and quality of life questionnaire pre- and post-intervention. Patients were supported weekly via telephone and average weekly step count data collected using pedometers. Results Forty-three patients were screened and 20 recruited into the study. Seventeen patients (85%) completed the intervention, and 15 (75%) achieved the target step count. Average step count per day increased significantly from baseline to 3 weeks by 2546 (5108 ± 3064 to 7654 ± 3849, P = 0.03, n = 17) and was maintained until week 12 (9022 ± 3942). Following completion of the intervention, no adverse events were recorded and quality of life improved by 4 points (26 ± 18 vs. 22 ± 19). Peak exercise stroke volume increased by 19% (127 ± 34 vs. 151 ± 34 m/beat, P = 0.05), while cardiac index increased by 12% (6.8 ± 1.5 vs. 7.6 ± 2.0 L/min/m2, P = 0.19). Workload and oxygen consumption at anaerobic threshold also increased by 16% (49 ± 16 vs. 59 ± 14 watts, P = 0.01) and 10% (11.5 ± 2.9 vs. 12.8 ± 2.2 ml/kg/min, P = 0.39). Conclusion The Active-at-Home-HF intervention is feasible, acceptable and effective for increasing physical activity in CHF. It may lead to improvements in quality of life, exercise tolerance and haemodynamic function. Trial Registration www.clinicaltrials.gov NCT0367727. Retrospectively registered on 17 September 2018.


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